License holder summary

MARK BOULES GHOUBRIAL is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for MARK BOULES GHOUBRIAL is North Wales PA 19454. This licensed professional license is current. The license was granted 11/13/2007 and expired on 12/31/2016.

Pennsylvania

Department of State

MARK BOULES GHOUBRIAL
Direct Access Authorization - Physical Therapy
License number
DAPT001603
Date granted
11/13/2007
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
North Wales PA 19454
palicensing.org
ID 17276389
LAST UPDATED 2024-04-10 01:50:51 UTC

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